# ISAAC BAKST MD A PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891000113
- **Authorized official:** DR. ISAAC BAKST MBBCH (OWNER)
- **Authorized official phone:** (858) 552-8828

## Contact information

- **Practice address:** 8929 UNIVERSITY CENTER LN, SUITE 207, SAN DIEGO, CA 92122-1006
- **Practice address phone:** (858) 552-8828
- **Mailing address:** 8929 UNIVERSITY CENTER LN, SUITE 207, SAN DIEGO, CA 92122-1006
- **Mailing address phone:** (858) 552-8828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A40598 | CA | Yes |

## Other

- **Enumeration date:** 08/11/2010
- **Last updated:** 08/11/2010